Organization
NEUROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY HAGEN (OFFICE MANAGER)
(605) 782-8949
Entity
Organization
Contact information
Practice address
1301 S CLIFF AVE, SUITE 506, SIOUX FALLS, SD 57105-1023
(605) 335-0844
(605) 977-1715
Mailing address
1301 S CLIFF AVE, SUITE 506, SIOUX FALLS, SD 57105-1053
(605) 335-0844
(605) 977-1715
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000102
BCBS - GROUP
IA
01
—
0000102
BCBS - GROUP
SD
05
—
15050
—
ND
05
—
15100
—
ND
05
—
301512200
—
MN
01
—
90901PA
BCBS - GROUP
MN
Enumeration date
08/01/2006
Last updated
09/18/2014
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